Daiuto A D, Baucom D H, Epstein N, Dutton S S
University of North Carolina at Chapel Hill, Department of Psychology 27599-3270, USA.
Clin Psychol Rev. 1998 Sep;18(6):663-87. doi: 10.1016/s0272-7358(98)00024-5.
The present review was undertaken to examine the literature regarding the role of the marital relationship in treatment of agoraphobia from a behavioral couples therapy (BCT) perspective. Both qualitative and quantitative analyses were conducted to evaluate (a) whether marital quality predicts treatment responsiveness and (b) how best to include the spouse in treatment of agoraphobia. Regarding the assessment of agoraphobics' relationship quality, it is recommended that subjectively experienced "satisfaction" with the relationship be distinguished from more descriptive measures of general and agoraphobia-specific relationship "adjustment." Treatment can include the partner as a "co-therapist" to assist with interventions directly targeted at the agoraphobia, or use BCT interventions to modify relationship interactions that might impede treatment gains. The application of BCT for these couples poses a number of challenges, including (a) the need to maintain a balanced treatment approach in an "unbalanced" system, (b) the need to target interventions at more than one treatment goal, and (c) the task of combining couple-focused interventions with those aimed at reducing phobic symptoms.
本综述旨在从行为夫妻治疗（BCT）的角度审视有关婚姻关系在广场恐惧症治疗中作用的文献。进行了定性和定量分析，以评估：（a）婚姻质量是否能预测治疗反应；（b）如何最好地让配偶参与广场恐惧症的治疗。关于广场恐惧症患者关系质量的评估，建议将对关系的主观体验“满意度”与对一般关系和广场恐惧症特定关系“调适”的更具描述性的测量区分开来。治疗可以将伴侣作为“共同治疗师”，以协助直接针对广场恐惧症的干预措施，或者使用BCT干预措施来改变可能阻碍治疗效果的关系互动。将BCT应用于这些夫妻面临诸多挑战，包括：（a）在“不平衡”的系统中保持平衡治疗方法的必要性；（b）针对多个治疗目标进行干预的必要性；（c）将以夫妻为重点的干预措施与旨在减轻恐惧症状的干预措施相结合的任务。
